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compositionComposition:ESMOLOL-10MG
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Prescription Medicine
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NEOTACH INJECTION is used for the short-term treatment of tachycardia (heartbeats too fast). It is also used during and straight after surgery to treat high blood pressure and/or fast heartbeat. It contains Esmolol, which works by controlling the force and rate of heartbeat. It also helps reduce the blood pressure. Thereby, it helps slow down the heart rate and reduce blood pressure. In some cases, NEOTACH INJECTION may cause side effects such as a fall in blood pressure, excessive sweating, loss of appetite, and headache.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

ESMOLOL-10MG

Manufacturer/Marketer :

Neon Laboratories Ltd

Consume Type :

Parenteral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About NEOTACH INJECTION

Receive NEOTACH INJECTION, an injectable heart medication used by doctors to quickly control rapid heart rate and high blood pressure during critical situations.

Because NEOTACH INJECTION is given as an intravenous injection or continuous infusion by a healthcare provider, it is typically used for short-term, immediate treatment in a hospital or clinic rather than as a daily home medication. While you receive this treatment, maintaining a quiet environment and avoiding physical stress helps support your recovery. Once your condition stabilises, your doctor may transition you to other long-term lifestyle changes and oral medications.

Some people may experience mild side effects like dizziness, low blood pressure, or mild irritation at the injection site. If you notice severe shortness of breath, a very slow heartbeat, or skin colour changes near the injection area, you must inform your healthcare provider immediately. Your medical team will continuously monitor your vital signs to ensure your safety during treatment.

Do not receive this medicine if you have certain heart conditions, such as a very slow heart rate, heart block, severe heart failure, or a history of severe asthma. Before receiving this medicine, tell your doctor if you have kidney problems, diabetes, or thyroid issues so they can take extra precautions.

This medicine can interact with other blood pressure-lowering drugs or heart medications, which may cause your heart rate or blood pressure to drop too low. If you are pregnant, breastfeeding, or elderly, talk to your doctor or pharmacist to discuss the risks and benefits of receiving this treatment.

Uses of NEOTACH INJECTION

NEOTACH INJECTION is used to quickly control rapid heart rate and high blood pressure during critical situations. The detailed uses of NEOTACH INJECTION are as follows:

  • Rapid heart rate control: NEOTACH INJECTION helps slow down an abnormally fast heart rate, especially in conditions like atrial fibrillation or atrial flutter, to ease the strain on your heart.
  • High blood pressure during surgery: NEOTACH INJECTION helps control sudden spikes in blood pressure and heart rate during or immediately after a surgical procedure.
  • Supraventricular tachycardia: NEOTACH INJECTION helps restore a normal, steady rhythm to your heart when it beats dangerously fast in the upper chambers.

Key Benefits

NEOTACH INJECTION provides rapid control of heart rate and blood pressure in emergency and hospital settings through intravenous administration. Under close medical supervision, it helps stabilize the heart, reduce cardiovascular strain, and support safer management of acute cardiac conditions.

  • Provides Fast-Acting Control: Because this medicine is administered directly into the bloodstream, it begins working within minutes to quickly lower a dangerously high heart rate or blood pressure when immediate treatment is required.
  • Allows Precise Dose Adjustment: This medicine has a very short duration of action, allowing healthcare professionals to adjust or stop treatment quickly based on your body's changing needs for safe and accurate control.
  • Protects the Heart: By reducing the heart's workload and oxygen demand, this medicine helps stabilise heart function and lowers the risk of further cardiovascular complications during acute medical events or procedures.
Side effects of Neotach 10ml Inj
Managing Low Blood Pressure Triggered by Medication: Expert Advice:
  • If you experience low blood pressure symptoms like dizziness, lightheadedness, or fainting while taking medication, seek immediate medical attention.
  • Make lifestyle modifications and adjust your medication regimen under medical guidance to manage low blood pressure.
  • As your doctor advises, regularly check your blood pressure at home. Record your readings to detect any changes and share them with your doctor.
  • Fluid intake plays a vital role in managing blood pressure by maintaining blood volume, regulating blood pressure, and supporting blood vessel function. Drinking enough fluids helps prevent dehydration, maintain electrolyte balance, and regulate fluid balance.
  • Take regular breaks to sit or lie down if you need to stand for long periods.
  • When lying down, elevate your head with extra pillows to help improve blood flow.
  • Avoid heavy exercise or strenuous activities that can worsen low blood pressure.
  • Wear compression socks as your doctor advises to enhance blood flow, reduce oedema, and control blood pressure.
  • If symptoms persist or worsen, or if you have concerns about your condition, seek medical attention for personalized guidance and care.
  • Always wear loose-fitting clothes which are suitable for your activity.
  • Include the diet containing fruits like watermelon, grapes, bananas and green leafy vegetables.
  • Drink plenty of water and stay hydrated.
  • Avoid moving more and staying in hot sun.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
  • Injection site reaction can include numbness or redness.
  • Get a physical examination, follow your doctor's instructions, if it worsens or gets swollen.
  • Apply cold compress for pain relief.
  • Practice good hygiene and keep the injection site away from heat and pressure.
  • Burning sensation at the infusion site is an abnormal side effect that needs medical attention.
  • Focused exercises or massaging that particular organ slowly can reduce pain.
  • Do not retake the same medicine that caused a burning sensation.
  • Burning feeling in a specific area would need relaxing that particular part. Talk to your doctor before applying a cold compress.

Directions for Use

  • Follow your doctor’s instructions on the dosage and timing of this medication.
  • NEOTACH INJECTION will be administered by a nurse or doctor.
  • Do not self-administer.

How NEOTACH INJECTION Works

NEOTACH INJECTION contains esmolol, which belongs to a class of medicines called beta-blockers. It works by blocking the action of certain natural chemical messengers in your body, such as adrenaline, on your heart. By blocking these signals, the medicine slows down your heart rate and reduces the force with which your heart muscle contracts. This action lowers your blood pressure and decreases the overall strain on your cardiovascular system, helping your heart pump blood more efficiently.
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Alcohol

Consult your doctor

Taking alcohol with esmolol may have additive effects in lowering blood pressure. Therefore, avoid or limit the consumption of alcohol.

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Pregnancy

Unsafe

The use of NEOTACH INJECTION is not recommended during pregnancy.

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Breast Feeding

Unsafe

Esmolol may pass into breast milk. NEOTACH INJECTION is not recommended if you are breastfeeding.

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Driving

Consult your doctor

It is not known if NEOTACH INJECTION affects your ability to drive. Drive or operate heavy machinery only if you are alert.

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Liver

Consult your doctor

If you have liver disease, inform the doctor before receiving NEOTACH INJECTION.

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Kidney

Caution

Caution is advised in patients with kidney problems. If you have kidney problems, inform the doctor before receiving NEOTACH INJECTION.

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Children

Unsafe

NEOTACH INJECTION is not recommended for children below 18 years as safety and effectiveness have not been established.

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Heart

Consult your doctor

Please consult your doctor before receiving NEOTACH INJECTION if you have pre-existing heart problems. Your doctor will prescribe NEOTACH INJECTION if the benefits outweigh the risks.

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Geriatrics

Consult your doctor

Please consult a doctor before administering NEOTACH INJECTION to geriatric patients. Your doctor will prescribe NEOTACH INJECTION if the benefits outweigh the risks.

What if I have taken an overdose of NEOTACH INJECTION

An overdose is rare because healthcare professionals closely monitor your vital signs during treatment. However, if an overdose occurs, the infusion will be stopped immediately, and medical staff will provide supportive care to manage your heart rate and blood pressure.

Diet & Lifestyle Advise

  • Reduce sodium (salt) intake to help maintain healthy blood pressure levels after your treatment.
  • Avoid stimulants such as caffeine, energy drinks, and nicotine, as they can cause rapid or irregular heartbeats.
  • Eat a heart-healthy diet rich in leafy green vegetables, whole grains, and lean proteins.
  • Practice gentle stress-reduction techniques, like deep breathing or meditation, to keep your heart rate stable.
  • If recovering from surgery, follow your healthcare team's specific guidelines regarding physical activity and rest.
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Have a query?

How Soon It Starts Working

The time required for NEOTACH INJECTION to start to work: NEOTACH INJECTION ideally shows its action within 2 to 10 minutes after administration. The time for which the effects of NEOTACH INJECTION last: The effect of NEOTACH INJECTION lasts for 10 to 30 minutes.

What if you forget to take NEOTACH INJECTION

Because this medicine is given under direct medical supervision in a hospital setting, it is highly unlikely that you will miss a dose.

Storage

•In clinical settings, NEOTACH INJECTION should be stored at controlled room temperature, between 15°C and 30°C (59°F and 86°F).

Drug Warnings

  • Always inspect the solution container before use; it should be clear and colourless to light yellow with no visible particles.
  • Tell your doctor immediately if you feel a burning sensation, pain, or swelling around the injection needle.
  • Ensure your blood pressure and heart rate are continuously monitored using an ECG machine during the infusion.
  • Avoid driving or operating heavy machinery immediately after receiving this medication, as it can make you feel dizzy or lightheaded.
  • Inform your medical team of all other medications you are taking, especially other heart medicines, before the injection starts.

Drug-Drug Interactions

verifiedApollotooltip
  • Calcium channel blockers (like verapamil or diltiazem): May cause a dangerously slow heart rate or severe low blood pressure when combined with NEOTACH INJECTION.
  • Digoxin: May increase the risk of an excessively slow heartbeat.
  • Other blood pressure medicines: May increase the risk of low blood pressure when used together.
EsmololFingolimod
Severe
EsmololRitodrine
Severe

Drug-Drug Interactions

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EsmololFingolimod
Severe
How does the drug interact with Neotach 10ml Inj:
Taking Neotach 10ml Inj with fingolimod can result in an abnormally slow heart rate, which can lead to significant cardiac problems.

How to manage the interaction:
Taking Neotach 10ml Inj with Fingolimod together can result in an interaction, but it can be taken if a doctor has advised it. However, contact your doctor if you experience dizziness, lightheadedness, fainting, shortness of breath, chest discomfort, or heart palpitations while receiving therapy. Do not discontinue any medications without consulting the doctor.
EsmololRitodrine
Severe
How does the drug interact with Neotach 10ml Inj:
Coadministration of Neotach 10ml Inj and ritodrine may make either medicine less effective.

How to manage the interaction:
Taking Neotach 10ml Inj with Ritodrine together can result in an interaction, but it can be taken if a doctor has advised it. Do not stop using any medications without a doctor's advice.
EsmololClonidine
Severe
How does the drug interact with Neotach 10ml Inj:
The combination of Neotach 10ml Inj and clonidine may reduce your blood pressure and lower your heart rate.

How to manage the interaction:
Although there is a possible interaction between Neotach 10ml Inj and Clonidine, you can take these medicines together if prescribed by a doctor. However, if you may experience a sluggish heartbeat, headaches, dizziness, or the sensation of passing out, consult the doctor. Do not discontinue any medications without consulting the doctor.
EsmololAtazanavir
Severe
How does the drug interact with Neotach 10ml Inj:
When used with atazanavir, Neotach 10ml Inj can raise the chance of a irregular heart rhythm.

How to manage the interaction:
There may be a possibility of interaction between Neotach 10ml Inj and Atazanavir, but it can be taken if prescribed by a doctor. If you experience sudden dizziness, lightheadedness, fainting, or an irregular heartbeat while taking these medications, consult the doctor. Do not discontinue any medications without consulting the doctor.
EsmololVerapamil
Severe
How does the drug interact with Neotach 10ml Inj:
Coadministration of Neotach 10ml Inj with verapamil can lead to increased risk or severity of side effects.

How to manage the interaction:
Although there may be an interaction, Neotach 10ml Inj can be taken with verapamil if prescribed by the doctor. Consult a prescriber if you experience headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat. Do not discontinue any medications without a doctor's advice.
EsmololDiltiazem
Severe
How does the drug interact with Neotach 10ml Inj:
Using diltiazem and Neotach 10ml Inj together may lead to increased side effects (fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat).

How to manage the interaction:
Although taking Neotach 10ml Inj and Diltiazem together can cause an interaction, it can be taken if a doctor has suggested it. However, if you experience fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest discomfort, increased or reduced heartbeat, or irregular heartbeat consult the doctor immediately. Do not discontinue any medications without consulting the doctor.
EsmololTizanidine
Severe
How does the drug interact with Neotach 10ml Inj:
Using Neotach 10ml Inj with Tizanidine can increase the risk of side effects like low blood pressure.

How to manage the interaction:
There may be a possibility of interaction between Neotach 10ml Inj and Tizanidine, but it can be taken if prescribed by a doctor. However, if you experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate, consult the doctor. Use caution while getting up from a sitting or sleeping position and avoid driving or using dangerous machinery. Do not discontinue any medications without consulting a doctor.
EsmololCeritinib
Severe
How does the drug interact with Neotach 10ml Inj:
Taking Neotach 10ml Inj with ceritinib can lower your heart rate and raise the risk of irregular heart rhythm.

How to manage the interaction:
Although there is an interaction between Neotach 10ml Inj and ceritinib, but it can be taken if prescribed by a doctor. However, if you experience abrupt dizziness, lightheadedness, fainting, or an irregular heartbeat while taking these medications, consult the doctor. Do not discontinue any medications without consulting the doctor.
EsmololAminophylline
Severe
How does the drug interact with Neotach 10ml Inj:
Combining Neotach 10ml Inj with Aminophylline makes Neotach 10ml Inj less effective and increases the effects of aminophylline.

How to manage the interaction:
Co-administration of Neotach 10ml Inj with Aminophylline can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience nausea, vomiting, insomnia, tremors, restlessness, uneven heartbeats, or difficulty breathing, consult the doctor. Do not stop using any medications without talking to a doctor.
EsmololSaquinavir
Severe
How does the drug interact with Neotach 10ml Inj:
Coadministration of Neotach 10ml Inj with saquinavir raises the risk of serious abnormal heart rhythm.

How to manage the interaction:
Although there is a possible interaction between Neotach 10ml Inj and Saquinavir, you can take these medicines together if prescribed by a doctor. However, if you experience abrupt dizziness, lightheadedness, fainting, sluggish pulse, or irregular heartbeat consult the doctor. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
  • No clinically significant food interactions are known with NEOTACH INJECTION when used as directed.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[MISCELLANEOUS]

FAQs

NEOTACH INJECTION is used to treat Fast heartbeat and high blood pressure.
NEOTACH INJECTION works by controlling the force and rate of heartbeat. It also helps reduce the blood pressure.
Consult the doctor if you have diabetes, as NEOTACH INJECTION may mask the symptoms of low blood sugar or increase the effects of diabetic medicines. Regular monitoring of blood glucose levels is advised.
You could develop hyperkalemia (high blood potassium levels), which might lead to serious heart problems if you have kidney disease or need kidney dialysis. Therefore, consult the doctor if you have kidney problems.
You should not receive NEOTACH INJECTION within 48 hours of stopping verapamil. Consult the doctor if you have any concerns.
NEOTACH INJECTION does not cause weight gain, as it is typically used for short durations in an acute setting. If you notice unexpected weight changes while using NEOTACH INJECTION, please consult your doctor to determine whether it is related to the medication or other factors.
It is recommended to follow a low-salt, low-fat diet to reduce strain on your heart. Include plenty of whole grains, vegetables, and fruits in your meals, as they are rich in essential vitamins, minerals, and fibre, which promote optimal health. It is best to avoid high-sodium foods, excessive caffeine, alcohol, and high-fat or fried foods.
While taking NEOTACH INJECTION, please follow your doctor's advice regarding physical activity. NEOTACH INJECTION can lower your heart rate and blood pressure, so you should avoid activities that could strain your heart, such as intense exercise or sports. Your doctor may recommend limiting physical exertion or suggest alternative, low-intensity sports. Be sure to monitor your heart rate and any symptoms during exercise while on NEOTACH INJECTION.
NEOTACH INJECTION may cause common side effects such as a fall in blood pressure, excessive sweating, loss of appetite, and headache. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if the side effects persist or worsen.
NEOTACH INJECTION is used to quickly control a rapid heart rate or high blood pressure in emergency situations, acute cardiac events, or during surgical procedures. Talk to your doctor for more details about your specific treatment.
If you have severe asthma or a history of breathing problems, you should not receive NEOTACH INJECTION, as it can cause airway tightening. Talk to your doctor to find a safer alternative.
Yes, dizziness is a common side effect of NEOTACH INJECTION because it lowers your blood pressure and heart rate. Your medical team will monitor you closely to manage this. Talk to your doctor if you feel very lightheaded.
No, NEOTACH INJECTION is only administered by trained healthcare professionals in a hospital or clinical setting where your heart and blood pressure can be continuously monitored. Talk to your doctor for more information.
NEOTACH INJECTION is generally only used during pregnancy if the potential benefit justifies the risk to the baby, as it can affect the baby's heart rate. Talk to your doctor to evaluate your options.
If you feel burning, pain, swelling, or redness where the IV line is placed, tell your nurse or doctor immediately so they can check the infusion site. Talk to your doctor if you experience any discomfort.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Reference

  1. Electronic Medicines Compendium (EMC). Pil.3561 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  2. Electronic Medicines Compendium (EMC). Pil.3057 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  3. Drugs.com Clinical Review Team. Esmolol Clinical Drug Monograph. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026]Check here
  4. Esmolol hydrochloride. 2007. [Accessed on 18 Mar. 2019]Check here
  5. Drugs and Lactation Database (LactMed) [Internet]. 2006. [Accessed on 19 Feb. 2020]Check here
  6. Central Drugs Standard Control Organisation (CDSCO). [Accessed on 18 Mar. 2019]Check here
  7. Health Products Regulatory Authority (HPRA). D8E52E0D Dff6 4983 926F F317F3D5C38C Human Medicine Product Information. Dublin, Ireland: HPRA; 2024. [Accessed on 02 Jun. 2026]Check here

Country of origin

India

Manufacturer/Marketer address

140, Damji Samji Industrial Complex, Mahakali Caves Rd., Andheri(East), Mumbai-93.
Other Info - NEO0088
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